Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-08T22:35:50.913Z Has data issue: false hasContentIssue false

Chapter 44 - Cerebral Aneurysm Surgery

from Section 3 - Neuroanesthesia

Published online by Cambridge University Press:  03 August 2023

Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
Get access

Summary

A 60-year-old woman presents to the emergency department with a history of “the worst headache of her life.” Paramedics report that although she is presently drowsy, she did briefly lose consciousness in the ambulance. Her blood pressure is 175/80 mm Hg with a heart rate of 60. Her other vital signs are all stable. A CT scan reveals a grade 3 subarachnoid hemorrhage (SAH). The neurosurgical team posts the case as an aneurysm clipping scheduled for the following morning. What are your concerns? How will you evaluate the patient? How will you induce and maintain general anesthesia in this patient?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
, pp. 197 - 200
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1018–19.Google Scholar
Butterworth, JF, Mackey, DC, Wasnick, JD. Morgan & Mikhail’s Clinical Anesthesiology, 6th ed. New York: McGraw-Hill Education, 2018, pp. 612–14.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1886–90, 2683–5.Google Scholar
Muroi, C, Keller, M, Pangalu, A, et al. Neurogenic pulmonary edema in patients with subarachnoid hemorrhage. J Neurosurg Anesth 2008;20(3):188–92.CrossRefGoogle ScholarPubMed
Priebe, HJ. Aneurysmal subarachnoid haemorrhage and the anaesthetist. Br J Anaesth 2007;99(1):102–18.CrossRefGoogle ScholarPubMed
Sriganesh, K, Venkataramaiah, S. Concerns and challenges during anesthetic management of aneurysmal subarachnoid hemorrhage. Saudi J Anesth 2015:9(3):306–13.Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×